Individual
CATHY L HEASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
20716 1ST AVE S, DES MOINES, WA 98198-2849
(206) 824-2819
Mailing address
13517 37TH AVE S, TUKWILA, WA 98168-3932
(206) 243-7439
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00009396
WA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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